Individual
AMANDA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
517 E 5TH ST, HUNTINGBURG, IN 47542-1004
(859) 358-0711
Mailing address
857 KEUSCH LN, JASPER, IN 47546-2987
(859) 358-0711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013674A
IN
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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